Mental Health What else can a psychiatrist possibly prescribe me?

onaga

Bluelighter
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Nov 14, 2012
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So i've reached the end of the line now with NHS and considering going to be a private psychiatrist but i really don't know what else they could possible prescribe me... i have debilitating anxiety, have tried SSRI's, SNRI's, anti psychotics with no avail, tried CBT aswell... the one thing i'm on now which does give me a bit of relief is pregabalin but it's no where near effective enough.

I know they could possible prescribe me clonazepam or some other benzos but i am living in the UK which is kind of a benzophobic nation so if the psychiatrist i see doesn't want to prescribe benzos what else is there?

nothing? i don't want to waste £250 on a psychiatric consultation just to get nothing out of it

anyone else here had experience with seeing a psychiatrist in the UK after exhausting all other options in the NHS?
 
The thing is you gotta find someone who can get to the root cause of your mental illnesses or anxiety. I've been going to NHS doctors on and off for years and still find I'm in the same situation. It feels like my life is on hold and can't enjoy the things so-called normal people do.
 
the root cause for myself has to be 90% down to genetics which is why i think medication has to be the most effective option, the benefits i've noticed from just pregabs has been immense before i was put on them i was waking up every morning having a mini panic attack and shitting every 5 minutes from anxiety - no therapy or talking with someone can fix anxiety that severe in my opinion... but a tablet got rid of it instantly.
 
I went through all sorts of medications that didn't work.

I found one that did and it was a benzo and I stayed on the same one I got started on going on well over a decade now. (clonazepam

Now it is very hard for me to get pain medication and I wouldn't say I am addicted to them in a conventional sense, I just have seizures if I stop taking it (ie jail where it is not allowed).

It has its ups and downs and is considered a bit of a last resort. Have you tried gabapentin or pregablin because those are far less addictive and might have worked for me.

Anyways your doctor can prescribe you something else, it doesn't mean they will. I eventually switched psychiatrists a few times over this mess, some have a no benzo policy. Some are idiots, some like to write things off label like in your case. I would advise weighing the pros and cons before switching.

In my personal experience I was on at least 8 psych meds at once before I got on clonazepam. Once I found that it worked quite well I made the decision to stop taking the other medications (against medical advice) and I felt pretty damn good. My doctor tried to have me committed but that didn't happen (I later found out he was arrested for over medicating patients and taking bribes from pharm reps) which obviously meant I needed a new doctor. I had about ten psychiatrists take me as a patient and drop me for not wanting to take antidepressants. So in the long run I went to my physician who ironically was rx'ing most my family benzodiazapines so that wasn't much of an issue.

I suppose my only concern is the times I haven't been able to fill it for some reason or the correctional system. It is more or less my own fault for winding up in jail but that is kind of not relevant to this discussion.

I should note that being well informed is considered drug seeking behavior and I am just providing information as I know it and my personal experiences here.
 
Hey, so you've been on clonazepam for over a decade now, is that daily use? how has your dosage changed over the course of 10 years? do you not find it less effective if you're still at the same dose when you started?

I never knew someone could be on clonazepam for that long without having to taper off it at some point... i thought tolerance would just become uncontrollable?

I am on pregabalin max dosage of 300mg 2x a day and it is very effective in treating my GAD which has completely gone since i started taking them.

You say being well informed can be considered drug seeking behaviour? So do you think for my first psychiatrist appointment i should pretend i don't know much about medications and definitely not try recommending a type of medication that i want to try? (i.e clonazepam)
 
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Benzodiazepines become less noticeable and pleasant but not necessarily less therapeutically effective, over time.

The side effects aren't that bad at a low to medium dose. If you're taking 6mg a day, it's not unheard of to have cognitive issues while older.

I haven't been on them too long, maybe six months, but it just feels like a more calm nightcap.
 
I started at a pretty low dose of course and it took a while to get to a dose that worked. So I got upped to 4mgs after a year.

About two or three years later I went up to six mgs.

It still works for me just as good ad before. The main goal was to prevent panic attacks and that is why I went with clonazepam. I was later offered to switch to xanax (alzopram) which I declined because I just didn't want to fix something that wasn't broke.

Plenty of doctors have told me to cut my dose and eventually I stopped going to psychiatrist and got it from my physician. They wanted me to take an antidepressant or antipsychotic and/or cut my dose so that didn't work out. Usually they dropped me as a a patient. My physician was already filling in and writing between psychiatrists so he just eventually made it a great deal easier.

As far as tolerance I never got much of a buzz even from the first benzo I took, I just felt like that was how life was long before I had anxiety. I have had really bad anxiety and panic attacks since childhood and its probably PTSD.

Anyways I did learn some coping mechanisms over the years so that could attribute to the fact the medication still works for me.

Ironically my first therapist had recommended the drug to myself and my psychiatrist but it took trying a guantlet of medication that was written off label for anxiety.

My only mental problem was anxiety and panic attacks so I really didn't like taking other medications but I did try them as I was quite desperate.

My life started getting better pretty much as soon as I started with clonazepam, maybe after the first few dose increases.

It had gotten to the point I couldn't sit in class at university and my dating life was mostly one night stands and short relationships, like flings and a casual relationship. So I was not able to handle dating either until I got my anxiety under control.

I suppose I made a mistake starting drinking to deal with anxiety very young. I had to go to medical detox to stop drinking many times (5 I think). I remember I started having DTs when I moved in with my grandparents at 17 and my grandmother gave me valium to get through alcohol detox.

The anxiety kept getting worse and by the time I turned 19 I was rather hopeless about the matter and suicidal. I knew I needed some sort of medication but really knew nothing about medication at the time.

I would not recommend this but I told my therapist that I would kill myself in six months if this didn't get any better. He could have had me commuted but instead referred me to a private psychiatrist as many places do not rx benzos.

This quack believed benzos work but only if you take a shitload of other medications. He did eventually get arrested for overmedicating patients and taking beibes from pharm reps so he was using his patients to provide research data to the pharm companies.

I really couldn't see how a medication (depakote) which required my liver function to be tested twicr a year could be worse for me than a benzo but the medical communities basic notion was that anything written off label was a better alternative.

I am still at six mgs and have been at five or six for most the time. It still works. I do cope better but without the medication I feel awful and do have seizures if I can't get it like in jail but now they give it to me but I really just don't plan on going back to jail ever.

I did skip over all the psychiatrist that wanted to take me off and made me try more medication that didag work in an attempt to lower my dose.

The general consensus with psychiatrist seem to be if they are not tapering you and/or switching you to a non narcotic, least at that point in time.

I have had pain doctors want to cut my pain dose because I was on benzos but now pain doctors in my state won't take people on benzos as patients because its the law as of a few months ago, same deal with methadone/suboxone clinics a doctors.

I should mention I have shity insurance and there are people that get their pain abd anxiety medication from a psychiatrist. Some even get methadone tablets and benzos and I would really like to have an rx like that.

My doctor gives me codeine so I have something for pain and he agrees it's not enough so I had just got referred to a pain clinic and denied to be a patient so I am hoping he will be willing to change my pain medication dose.

Anyways yeah the medication still works. It isn't something doctors like to rx especially at my dose but it is also really hard for them to take me off because I have been on it a long time and now I have some protection from that bs because I am medically classified a seizure risk.

As far as how the medication helped me. It changed my life for the better. I was able to go to university and able to have a good dating/sex life.

It didn't happen overnight and it still took me a long time to be comfortable and confident with myself. I stopped having panic attacks after the dose started to get to the right level but they did decrease immediately.

Everyone is different and I know if I had stayed at a lower dose it wouldn't have worked for me. I do strongly urge you to not go to a higher dose than you need and never to squander the chance to get your life together by abusing rx drugs and I did that with pain medication and am paying a price for that.

My personal experiences do not equate to medical advice. I probably think I know better than the doctors at times but that doesn't mean I do even if I do.

My posts here are in no way medical advice, just the perspective from another patient.
 
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